SACRAMENTO SURGERY CENTER ASSOCIATES L P NPI 1114921541

NPI Information

NPI: 1114921541
Provider Name: SACRAMENTO SURGERY CENTER ASSOCIATES, L P

Doing Business As: CAPITOL CITY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1800 TRIBUTE RD
STE 100
SACRAMENTO, CA
ZIP 95815
Phone: (916) 925-2700
Get Directions

SACRAMENTO SURGERY CENTER ASSOCIATES, L P is an ambulatory surgical clinic center in Sacramento, CA. SACRAMENTO SURGERY CENTER ASSOCIATES, L P NPI is 1114921541. The provider is registered as an organization entity type.
The provider Is Doing Business As Capitol City Surgery Center.

The provider's business location address is:

1800 TRIBUTE RD
STE 100
SACRAMENTO, CA
ZIP 95815-314
Phone: (916) 925-2700
Fax: (916) 925-2210

The provider's authorized official is Bradley Heaton .
The authorized official title is Ceo, Sscd and has the following contact phone number (916) 566-4907.

The CLIA number assigned to this NPI record is 05D1016509 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	030000780	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SUR01635F	MEDICAID	CALIFORNIA
2	6801635F	OTHER		BLUE SHIELD
3	AS1635	OTHER		BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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